FORM 1023-EZ for PORT EDWARDS FIREFIGHTER ATHLETIC ASSN

Field Data
EIN 81-5415576
Case Number EO-2017053-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PORT EDWARDS FIREFIGHTER ATHLETIC ASSN
Organization’s Mailing Address 431 LETENDRE
City PORT EDWARDS
State WI
ZIP 54469
Accounting period End 12
Primary contact name TAMI L KASTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY BASTIEN
PRESIDENT
60 MADISON AVE
PORT EDWARDS WI 54469

Officer/Director/Trustee Two

BRIAN LUEBKE
VICE PRESIDENT
950 WESTPORT DR
PORT EDWARDS WI 54469

Officer/Director/Trustee Three

DELNO STEWART
TREASURER
1211 4TH ST
PORT EDWARDS WI 54469

Officer/Director/Trustee Four

ERIC SAYLOR
SECRETARY
801 BRENTWOOD DR
PORT EDWARDS WI 54469

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2000
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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